What is your approach to establishing a dry weight in a pregnant patient with ESKD on hemodialysis given the expectation of weight increase and pregnancy-related edema?  

I think there is a lot of nuance managing weight in pregnant patients with ESRD. Pregnant patients have better fetal and maternal outcomes when clearance is increased. Outcomes are best with >36 hours of dialysis per week. Adjustment of dry weight should include assessment of volume status, blood...

It has been a long time since I had a pregnant patient on dialysis. Factors that will decide how much fluid to remove include: symptoms such as shortness of breath, blood pressure, degree of edema, degree of weight gain, and other exam findings.